From Front Desk to Finance: AI’s End-to-End Impact on Hospital Operations

The Major Challenges Facing Hospitals Today

While it may take years for a physician to develop an understanding of the practice of medicine, a physician spends as much as half of his/her time on clerical duties related to patient care, including documentation of clinical notes, completion of electronic medical record (EMR) forms, checking for accuracy of codes, and following up with payers about denied claims. Although these activities are necessary components of health care delivery, they create obstacles to providing timely care and add significant amounts of unnecessarily high levels of stress. Examples of obstacles encountered by all hospitals include:

• Incomplete or delayed clinical documentation

• Mistakes made in the assignment of medical coding

• Payer denials of claims

• Long reimbursement cycles

• Overworked clinicians and administrative staff

Using automated processes can help reduce the chance of errors occurring during the claim process; for instance, a simple error made in documentation could have serious consequences, such as delayed or denied claims; thus, hospitals must automate their processes to avoid such issues, rather than consider it an option.

What Is Healthcare AI in Simple Terms?

Healthcare AI allows computer systems to perform the same functions that people perform when creating medical records for patients.

In the context of hospitals, healthcare AI can:

• Being able to “hear” the patient’s voice

• identify the patient’s medical condition

• offer recommendations for treatments

• record the diagnosis

• provide a list of medical procedures and services

• code the documents appropriately

• submit the completed documentation to the insurance company for reimbursement.

Healthcare AI is similar to a digital assistant that will assist in all aspects of creating a medical record. Carevyn is an example of a healthcare AI assistant that can support healthcare providers and hospital teams in creating a complete medical record for each patient from start to finish.

Clinical Documentation AI is one of the Biggest Innovations in AI for Hospitals

STEP 1: Capture the Patient Conversation during their visits

During a patient’s visit, doctors have natural conversations with them about their symptoms and the doctor’s treatment recommendations. Carevyn’s AI captures and secures this information in real-time as the doctor is having this conversation so that the doctor’s focus remains on the patient.

STEP 2: Creating & organizing the information gathered into Structured Clinical Notes (SCN)

Based on these:

• Patient complaints / History

• Diagnosis / Treatment plan

Utilizing a SCN allows Carevyn to create easily understood & organized documentation that clinics and hospitals across the country use. They follow the same format (e.g., SCN) as most clinics and hospitals, allowing the creation of a SCN to be reviewed and approved in as little time as possible.

STEP 3: Seamless EHR Integration

Carevyn integrates into the Clinic’s and Hospital’s Electronic Health Record (EHR) systems so that there is no disruption in workflow or changes to current software that has been implemented already.

AI Making Medical Coding Easy

An area in healthcare operations that has historically seen a large number of errors is Medical Coding. This is because Diagnosis codes, Procedure codes, and treatment-related codes all need to match the Clinical Documentation accurately for the claims to be accepted. If the diagnosis does not match what is in the Clinical Documentation, it will lead to the claim being denied.

With Carevyn’s Medical AI Assistant, Carevyn uses AI to promise that it will automatically interpret and generate:

• Diagnosis Codes

• Procedure Codes

• Treatment-Related Codes

These codes are generated directly from the approved clinical notes, minimizing the need for manual intervention and the chances of making coding mistakes.

Thanks to this automation, documentation and coding stay in sync, which is what insurance companies expect to happen. However, annual documents often do not meet these expectations due to manual process operations.

Faster reimbursements and insurance claims

Insurance claims can only be approved once the documentation and coding have ended.

Why Claims are Delayed

Insurance companies deny claims for numerous reasons, including:

• Lack of information

• Incorrect coding

• Missing documentation

• Incorrect match of eligibility

With every denial, there is more work to do, more follow-up activities and a greater wait time for payment.

What Carevyn Provides

Carevyn prepares all claims with:

• Comprehensive Documentation

• Accurate Coding

• Appropriate Supporting Documentation

First-time approval rates increase significantly and insurers are contacted less frequently. Payments are made to hospitals faster, which helps the hospitals improve cash flow and sustain their financial viability.

Elimination of Complexity to Hospital Automation

Many hospitals are hesitant to adopt new technologies because they feel complicated and would disrupt. Carevyn addresses this by focusing on hospital automation as naturally as possible.

Key aspects include:

• Minimal need for training

• No change to the doctor-patient interaction

• Quick implementation to existing systems

• Easy dashboards to review and approve claims

Automation occurs without any interruption to the staff’s current job responsibilities, and they continue to work as they always have.

Benefits for Doctors

Doctors are the centre of the healthcare world, and Carevyn is committed to helping.

• Increased interactions with patients

• Lowered levels of burnout

• Accurate medical records without any added labor

• Carevyn helps doctors stay focused on their jobs (Patient Care).

Benefits of Health Care to Hospitals & Clinics

The results of Health Care AI on Hospitals and Clinics are significant.

Examples of these positive impacts are:

• Enhanced Documentation Accuracy

• Shortened Billing Cycles

• Less Claim Denial

• Better Utilization of Administrative Resources

• Ability to Scale and Scale Many Different Departments

Carevyn is a perfect fit for Multi-Specialty Hospitals, Clinics, and Healthcare Networks.

Benefits of Health Care AI to Patients

Patients will probably never see or communicate with Carevyn. However, they will receive the benefits indirectly.

• Increased Attention to their Consultations

• Improved and Accurate Medical Records

• Less Disputes Over Bills

• Faster Insurance Approvals

When systems operate efficiently, it increases the trust and satisfaction of patients.

Trust, Security and Compliance

Trust is a key component of healthcare. Any Health Care Ai Implementation will require Privacy and Data Security to be at the top of our list.

Carevyn has been developed with the following components:

• Secure Data Handling

• Control Access to Records

• Compliance with Health Care Data Standards

These components ensure that Patient Data is protected throughout the Workflow.

Real-World Experience Behind the Technology

Carevyn was developed by a real-world experience in Health Care, not a Generic AI Tool. Carevyn has not been developed as a general-purpose AI tool but has been developed as a specific, targeted solution to the real-world issues encountered in the hospital sector. As such, the platform provides the following benefits:

• The Knowledge of the Clinical Environment.

• The Recognition of the Insurance and Billing Process.

• The Understanding of the Real World of Hospital Operations.

This knowledge, recognition, and understanding provide Carevyn with a very strong and practical background that reinforces the platform’s reliability and usefulness.

What Makes Carevyn Different from Other Healthcare AI Solutions

Many of the other healthcare-related Artificial Intelligence tools focus only on one specific portion of the healthcare industry. Carevyn distinguishes itself from other healthcare-related AI tools by providing the ability to connect the entire patient journey, which includes all aspects from the time the patient communicates with his/her physician to when the provider is paid for the services provided.

The way that Carevyn combines all of these items onto a single platform is the main reason that it stands out as a leader within the healthcare field.

The Future of AI in the Hospital Environment

As patient volumes increase and the healthcare system becomes more complex, the use of manual processes will continue to place a burden on hospital staff. Therefore, the use of AI in hospitals will not replace healthcare staff; rather, it will assist healthcare staff in performing their daily tasks more efficiently.

Carevyn embodies a future where:

– Physicians will spend more of their time on patient care.

– Hospitals will operate more efficiently.

– Patients will have better experiences.

– The financial portion of the healthcare process will operate smoothly.

The use of AI in healthcare is no longer an emerging trend; rather, it is rapidly becoming an essential component of the healthcare system.

Frequently Asked Questions(FAQs) :

1. Is Carevyn hard for physicians to use?

No. Carevyn operates behind the scenes and will not change the way in which a physician communicates or interacts with a patient.

2. What kind of assistance does Carevyn provide to doctors and administrators?

Carevyn streamlines documentation processes and eliminates unnecessary paperwork for both physicians and medical administrative staff.

3. Can Carevyn work with other systems already in place at hospitals?

Yes, it integrates with most of the common Electronic Health Records platforms available today.

4. How does Carevyn help reduce denials from health insurance companies?

By providing resources to help ensure that documentation and coding are accurate prior to submission of the claims.

Check out Carevyn’s website to see how you can transition to using AI technology to help manage your practice IT support staff and daily operations—quietly, securely, and efficiently—while allowing your staff to focus on what matters most—caring for patients.